Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department
Joint Authors
Brown, Natasha
Petersen, Paul
Kinas, David
Newberry, Mark
Source
Case Reports in Emergency Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Emphysematous pyelonephritis (EPN) is a rare form of pyelonephritis causing a severe infection of the renal system that includes gas in the renal parenchyma, collecting system and surrounding tissue often presenting with sepsis.
We report the case of a 60-year-old male with poorly controlled insulin dependent diabetes mellitus who presented with abdominal pain, nausea, vomiting, and “peeing air.” CT scan revealed air extending from the left renal parenchyma, perinephric fat and into the bladder, consistent with emphysematous pyelonephritis.
Bedside point-of-care ultrasound (POCUS) subsequently revealed dirty shadowing and reverberation artifacts in the left kidney and the bladder consistent with gas in the urinary collecting system.
By understanding the identifying artifacts seen with EPN, reflective shadow and reverberation artifact, the emergency physician may be alerted to the diagnosis sooner.
Often this illness presents similarly to simple, acute pyelonephritis or undifferentiated sepsis.
Therefore, POCUS allows for real time consideration of this condition while in the emergency department and thus prompter time to treatment.
American Psychological Association (APA)
Brown, Natasha& Petersen, Paul& Kinas, David& Newberry, Mark. 2019. Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department. Case Reports in Emergency Medicine،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1135961
Modern Language Association (MLA)
Brown, Natasha…[et al.]. Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department. Case Reports in Emergency Medicine No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1135961
American Medical Association (AMA)
Brown, Natasha& Petersen, Paul& Kinas, David& Newberry, Mark. Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department. Case Reports in Emergency Medicine. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1135961
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135961